Individual
JUSTIN R EDMONDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2350 SCHILLINGER RD S, SUITE A, MOBILE, AL 36695-4177
(251) 633-0123
(251) 633-0123
Mailing address
PO BOX 7627, MOBILE, AL 36670-0627
(251) 633-7211
(251) 410-6079
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.671
AL
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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